Mr Glen Eric Johnson, MD | |
3940 West 4100 South, West Valley City, UT 84120 | |
(801) 966-3700 | |
(801) 966-9421 |
Full Name | Mr Glen Eric Johnson |
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Gender | Male |
Speciality | Psychiatry |
Experience | 53 Years |
Location | 3940 West 4100 South, West Valley City, Utah |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326157298 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 1547641205 (Utah) | Primary |
Entity Name | Glen E Johnson Md Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336443373 PECOS PAC ID: 1052590437 Enrollment ID: O20110201000553 |
Mailing Address | Practice Location Address |
---|---|
Mr Glen Eric Johnson, MD 555 E 4500 S, C-150, Salt Lake City, UT 84107-4533 Ph: (801) 288-0747 | Mr Glen Eric Johnson, MD 3940 West 4100 South, West Valley City, UT 84120 Ph: (801) 966-3700 |
Susan M Zimmerman, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3725 W 4100 South, West Valley City, UT 84120 Phone: 801-965-3600 Fax: 801-965-3526 | |
Dr. Komal Rastogi, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3600 | |
Dr. Brent P Goodman, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3535 S Market St, West Valley City, UT 84119 Phone: 385-430-1430 |